Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

ICR 201810-0938-007

OMB: 0938-1314

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
233582
New
233581
New
229086 Modified
229075
Modified
229074 Modified
227511
Modified
227509 Modified
227507 Modified
227506
Modified
227505
Modified
221786
Modified
221785
Modified
221784
Modified
221782
Modified
221781 Modified
221780
Modified
221779
Modified
221777
Modified
ICR Details
0938-1314 201810-0938-007
Historical Inactive 201808-0938-005
HHS/CMS CCSQ
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Revision of a currently approved collection   No
Regular
Comment filed on proposed rule and continue 10/31/2018
Retrieve Notice of Action (NOA) 10/18/2018
Terms of the previous clearance remain in effect. OMB files this comment in accordance with 5 CFR 1320.11( c ). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of 1995. This action has no effect on any current approvals. If OMB has assigned this ICR a new OMB Control Number, the OMB Control Number will not appear in the active inventory. For future submissions of this information collection, reference the OMB Control Number provided. OMB is withholding approval at this time. Prior to publication of the final rule, the agency should provide a summary of any comments related to the information collection and their response, including any changes made to the ICR as a result of comments. In addition, the agency must enter the correct burden estimates.
  Inventory as of this Action Requested Previously Approved
03/31/2020 36 Months From Approved 03/31/2020
1,161,681 0 1,161,681
7,559,375 0 7,559,375
0 0 0

Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS.

US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
  
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014

0938-AT31 Proposed rulemaking 83 FR 35704 07/27/2018

  83 FR 35704 07/27/2018
No

18
IC Title Form No. Form Name
§414.1330 and §414.1335 Claims Submission Mechanism
§414.1330 and §414.1335 EHR Submission Mechanism
§414.1330 and §414.1335 CMS Web Interface Submission Mechanism
§414.1400 QCDR and qualified registry self nomination
§414.1375 (Advancing Care Information Performance Category)
§414.1360 (Improvement Activities)
$414.1430 (Partial Qualifying APM Participant (QP) election)
§414.1375 (Advancing Care Information Performance Category) Significant Hardships, including for small practices and decertification of EHRs
§414.1395 (Physician Compare) Opt Out for Voluntary Participants
414.1330 (Quality Performance Category) Call for Measures CMS-10621 Data Template for Candidate Measures
414.1445 Other Payer Advanced APM Determininations: Medicaid Specific Clinician Initiated Process
§414.1325 and 414.1335 CMS Quality Payment Program Identity Management Application Process
§414.1440 Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option
414.1375 Advancing Care Information Performance Category - Call for Measures CMS-10621, CMS-10621 Promoting Interoperability Performance Category (Call for Measures Submission Form) ,   ACI Call for Measures Submission Form
§414.1330 and §414.1335 Quality Performance Category) Registration and Enrollment for CMS Web Interface
§414.1360 (Improvement Activities Performance Category) Call for Activities CMS-10621 Improvement Activities Performance Category (Call for Activities Submission Form)
§414.1440 Other Payer Advanced APM Identification: Other Payer Initiated Process CMS-10621, CMS-10621 Clinician Initiated Submission Form ,   Payer Initiated Submission Form
§414.1330 and §414.1335 Qualified Registry or QCDR Submission Mechanism

Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
In the proposed rule, we estimate a total of 5,566,944 hours with a total cost of $526,034,969. Table 27 of Supporting Statement A reflects a total of 998,735 responses with an associated hours burden of 5,566,944, this is a reduction of 29,305 hours. As shown in Table 28, we estimate a total burden of approximately $526 million, a reduction of $2.6 million. The reduction in burden for the 2019 MIPS performance period is reflective of several finalized policies, including reduction in the number of measures for which clinicians are required to submit quality data via the CMS Web Interface and a reduction in the number of measures for which clinicians are required to submit data for the Promoting Interoperability performance category. Our burden estimates also reflect the first year of data collection associated with our previously finalized policy to require APM Entities or eligible clinicians to submit all of the required information about the Other Payer Advanced APMs in which they participate. Table 28 summarizes the ICRs for the Quality Payment Program for which we are proposing changes to the burden estimates. For each ICR we have noted the total burden adjustment due to changes in policy and the total burden adjustment due to changes assumptions.

$0
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
Uncollected
Mitch Bryman 410 786-5258 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/18/2018


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